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CC-16-246 Miami Shores Village F .,f �AkBuilding Department JAN292015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY:- Tel: Y Tel:(305)795-2204 Fax:(305)756-8972 l INSPECTION LINE PHONE NUMBER:(305)762-4949 �•(.1.� FBC 20 BUILDING Master Permit No.tG d Co _ (0C=) PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFINGVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 33 )3 Folio/Parcel#: Is the Building Historically Designated•e��NO Occupancy Type: Load: Construction Type: Flood Zone:; BFE: FFE: OWNER:Name(Fee Simple Titleholder): �)U=/ cmc cc./ l �"--ZT"��' Phone#: I Address: ®� /U'r 2 ^-, A/c 4 City: ( � o r t State: L Zip: Tenant/Lessee Name: Phone#: ,' �6 3 l �G Z Email: C c, 0) /da . -'v 3 � �s 'C 7gS-tl � CONTRACTOR:Company Name: W'kl r�� Phone#: Address: gj_l /V"/ S City: pew . �V(leell— r nlState: 7C7- - Zip: Qualifier Name: oSc�Z- A - /6 / ' `� � Phone#: State Certification or Registration#: CG C c�/v� i Certificate of Competency#: DESIGNER:Architect/Engineer: Rlee4rdc <_Y'►i Phone#: 3®��7��1�j Address:( 5'u_" `11 S--jt�-' City: State: F:� Zip: is Value of Work for this Permit:$ �� '� Square/Linear Footage of Work: 4 Type of Work: r_1Addition ❑ Alteration [_1New EI Repair/Replace ❑ Demolition Description of Work: T�i n z a&'7� Sy 'q I✓lam � Specify color of color thru '►e: Submittal Fee$ SO-0-15 Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must d at the job site 01 for the first inspection which occurs seven (7) days after the building permit is issued. In the absence such p ted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 4Ji OWNER or AGEVJ ONTRACTOR The going instrument �w cknowledged before me�ttiis The foregoing instrument was acknowledged before me this day of A'C/ by day of t=\ .20 1 •by ho s personally known t 06eAR 1&d IS Q.-K 5- ,who its personally known to me or who has produced as me or who has produced 'FL- 1,L as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: sl-'�0 ltz-�L—' Sign: Sign: r Print: ® Print: Seal: , 0#bTMMIOUN Seal: Nftq Pm n E 1} RwWa Com E 85540 �.: XP RES:December FF 064212 Ly Comm. reo June it 801® �.- EXPIRES:December 14,2017 � q j ;•' sauced Tiw Wtwy aubk uuderayfts APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) r Miami Shores Village Building Department MAY 24 zoos I 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ! = - a � INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. (10, /b-2 PERMIT APPLICATION Sub Permit No. VkBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF jfCANCELLATION ❑ SHOP (( .. CONTRACTOR DRAWINGS JOB ADDRESS: C'sY 2� ' ` City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO ` Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: Q OWNER:Name(Fee Simple Titleholder): It Vi S'L'e T U'etij tvXL4 ' Phone#: -2�� -. Address: JA2 ,, u city: tau C� N eZ"f State:,, � ' Zip: Tenant/Lessee Name: kA1 AM\4 "�G'I, e Phone#: 3C 7 T� I e , Email: 2 1 AAZ-Cv C' MIC 1M4CkW%i , Cq CONTRACTOR:Company Name: Phone#: Address: j City: VAACVWV\ State: Zip: 17:q 6 Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New )4-Repair/Replace ❑ Demolition Description of Work: 64V7 P//,� ��%i4> ldd).z,&- o= /&302 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (R&Awd02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Trp Application is hereby made to obtain a permit to do the work and installations as Indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.°, Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person -whwe property-!"Ubject tovMchment- flis ,a certified copy Of the tecarded noticeof cammerrce►prent must be p=ed-drrh-eJdbVM ----- for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be chary Signature Sig nature!444 OWNER or AGEN CONTRACTOR The foregoing instrume t was acknowledged before me this The foregoing instrument was acknowledged before me this day c L4 20 by day of 20 ,by who is personally known ,who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: C Sign: Print: llA©4 Print: Seal: ,. �� ORITMIMOINI Seal: MY COA MLWON#FF 064212 f EXPIRES:December 14,2017 Bated Thm KWM Puft UWemrhm APPROVED BY Plans Examiner Zoning Structural Review Clerk (Re0sW02/24/2014) MTC miami theater center Village of Miami Shores 10050 NE 2nd Ave Miami Shores, FL 33138 May 24, 2016 To Whom It May Concern: Please arrange to close out the following open permit on our behalf.. • CC 16246 We are unable to perform the work at this time due to time constraints. We will reapply for the permit once we have the necessary�time available to complete the project. Sincerely, Elaiz rizarry Executive Directo 9806 NE 2"d Avenue,Miami Shores,FL 33138 ■ Phone:305-751-9550 0 Fax:305-751-9556 ■ infoomtcmiami.org 0 www.mtcmiami.org